Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea L Charles, LICSW

Individual provider Clinical Social Worker · NPI 1730529165

Andrea L Charles, LICSW is a Clinical Social Worker in Clarkston, Washington. Qualified in 2013, 13 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
13
Licensed in
ID, WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

920 6th St
Clarkston, WA 99403-2079
Phone: (509) 254-5053
Fax: (509) 769-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20006 Cedar Valley Rd Ste 113, Lynnwood, WA 98036-6478 — (509) 254-5053

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60737830 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW35066 (ID)

Record details

NPI number1730529165
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 29, 2013
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clarkston